Provider Demographics
NPI:1144375106
Name:GARLICH, CARO LEIGH (MD)
Entity type:Individual
Prefix:
First Name:CARO
Middle Name:LEIGH
Last Name:GARLICH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CARO
Other - Middle Name:LEIGH
Other - Last Name:FEAGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 658
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30503-0658
Mailing Address - Country:US
Mailing Address - Phone:770-718-1122
Mailing Address - Fax:770-535-7445
Practice Address - Street 1:725 JESSE JEWELL PKWY SE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-3834
Practice Address - Country:US
Practice Address - Phone:770-297-2200
Practice Address - Fax:770-534-8139
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2018-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058875207V00000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA848011178EMedicaid
GA550182OtherCOVENTRY
GA2552306OtherCIGNA
GA403495OtherWELLCARE
GA52210430OtherBCBS
GA848011178AMedicaid
GA848011178COtherPEACH STATE
GA848011178CMedicaid
GA2536163OtherUHC
GA848011178AOtherPEACH STATE
GA7307717OtherAETNA
GA01053164OtherAMERIGROUP
GA848011178DMedicaid
GA848011178FMedicaid
GAP00410670OtherRAILROAD MEDICARE
GA848011178AMedicaid
GA848011178EMedicaid